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Facility Use Form

USD #338


$25.00 Gym Fee Per Month

Adult Responsible:
Phone:   Cell Phone:

Beginning and Ending Dates of Sport Season:
Describe Activity:
Space(s) To Be Used:
        (the gyms may be reserved in 1/2 court increments per person/group)

How will you gain access to the school facilities?
Gym Code   I Have a Key    Use is While School is Open
Other (Explain)

Dates and Times Requested:

Items to be brought into the building:
Equipment Requested:

USD #338 Facility Use Policy
It is the policy of the board of education to grant and encourage maximum use of school facilities to responsible and properly organized groups throughout the school district, so long as these activities do not interfere with the regular school program.

 However, responsibility must be taken by all groups using the gym to assure proper care for these facilities.  In order to make this assurance, the individual in charge of supervising the use of the facilities must be twenty-one years of age and a twenty-five dollar ($25) fee/per month will be required.  

Conditions for gym use:

  1. Use of the gym does not include access to Physical Education Equipment Closet.  Use of school basketballs may be arranged.
  2. The only purpose to be on the stage is to quickly retrieve stray equipment.
  3. Anyone on the gym floor surface must be wearing appropriate footwear.  This includes adult sponsors/coaches.  Even tennis shoes which have been worn outside, if rocks are stuck to their soles, will damage the floor.
  4. Everyone is to stay off of the bleachers unless prior arrangements have been make.  In no case should anyone take responsibility to pull out the bleachers.
  5. When finished using the gym, the floor must be swept and all liquid spills cleaned up.
  6. Groups will take priority over individual use of the facilities.  Students may not use the gym without continuous adult supervision.
  7. There will be no smoking or use of alcohol on the premises.
  8. Special consideration for use of the gym will be approved by Administration during the summer.

***Note: The user agrees to abide by the foregoing regulations and will not hold the school district or any employees or representatives thereof, liable in any way whatsoever for injury or suit of any kind which may arise as a result of use of property.  We agree to pay replacement or satisfactory repair sought for any damage, which our group causes to said property.  Placement of a value on the damage is solely a matter for the School Board and Administrator.

We further agree to indemnify and hold said school district harmless from all loss, damage or injury; claims, debts or causes of action; legal fees and expenses in defense or prosecution of School District rights which may in any way be occasioned by use made of said school facilities.

            Facility Use Checklist:

* Pick Up Trash
* Sweep Floors
* Check Restrooms
* Turn Off Lights
* Make Sure all Doors Are Closed/Locked

Signed:  Date:


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Valley Falls USD 338 700 Oak Street Valley Falls, KS  66088


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